UMBRELLA MEDICAL LLC
NPI 1861202335
Family Medicine in Phoenix, AZ
About Umbrella Medical Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
UMBRELLA MEDICAL LLC (NPI 1861202335) is a healthcare organization registered as a family medicine in Phoenix, Arizona and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through November 13, 2027 and lists Mohamed Khalil, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Umbrella Medical Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Umbrella Medical LLC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 03D2334079
Umbrella Medical LLC, Dba Integrum Medical · Phoenix, AZFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Umbrella Medical LLC's NPI number?
The NPI number for Umbrella Medical LLC is 1861202335. It was assigned to this organization in the NPPES registry on January 8, 2025.
Where is Umbrella Medical LLC located?
Umbrella Medical LLC is located at 1728 W Glendale Ave Ste 100, Phoenix, AZ 85021. The listed phone number is (623) 299-8251.
What is Umbrella Medical LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Umbrella Medical LLC enrolled in Medicare?
Yes. Umbrella Medical LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Umbrella Medical LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Umbrella Medical LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (8) and General Practice (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Umbrella Medical LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 03D2334079) is associated with this NPI, valid through November 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Umbrella Medical LLC was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Umbrella Medical Llc · NPI 1861202335
Family Medicine organization in Phoenix, Arizona. Organization record, active in the CMS NPPES registry since January 8, 2025.
## Identity
- **NPI:** 1861202335 (Entity type: Organization)
- **Enumerated:** January 8, 2025
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Mohamed Khalil, CEO
## Practice location
- **Address:** 1728 W GLENDALE AVE STE 100, Phoenix, AZ 85021-8862
- **Phone:** (623) 299-8251
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (8), General Practice (1); 4 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 13, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1861202335) · Data from the CMS NPPES public registry.